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39 Cards in this Set

  • Front
  • Back
Infection
the invasion of a susceptible host by pathogens or microorganisms
Pathogens
Microorganisms capable of producing a disease
Microorganisms
Microscopic entities such as bacteria, viruses, and fungi that are capable of carrying on living processes.
Colonization
the presence and growth of microorganisms within a host but without tissue invasion or damage.
Communicable disease
Any disease that can be transmitted from one person or animal to another by direct or indirect contact or by vectors.
Symptomatic
If the pathogens multiply and cause clinical signs and symptoms.
Asymptomatic
If clinical signs and symptoms are not present
Infection occurs in a cycle that depends on the presence of all of the following elements:
- An infectious agent or pathogen
- A reservoir or source for pathogen growth
- A port of exit from the reservoir
- A mode of transmission
- A port of entry to a host
- A susceptible host
Reservoir
A place where microorganisms survive, multiply, and await transfer to a susceptible host.
Aerobic bacteria
require oxygen for survival and for multiplication sufficient to cause disease.
Anaerobic bacteria
thrive where little or no free oxygen is available.
The ideal temperature for most human pathogens is....
20 to 43 Degrees C (or 68 to 109 F)
Most microorganisms prefer an environment within a pH range of
5.0 to 7.0
Direct Contact
Person-to-person (fecal, oral) physical contact between source and susceptible host
Indirect Contact
Personal contact of susceptible host with contaminated inanimate object.
Droplet
Large particles that travel up to 3 feet during coughing, sneezing, or talking and come in contact with susceptible host.
Airborne
Droplet nuclei or residue or evaporated droplets suspended in dir during coughing or sneezing or carried on dust particles.
Incubation period
Interval between entrance of pathogen into body and appearance of first symptoms
Prodromal Stage
Interval from onset of nonspecific signs and symptoms to more specific symptoms.
Illness Stage
Interval when patient manifests signs and symptoms specific to type of infection
Convalescence
Interval when acute symptoms of infection disappear.
Aepsis
the absence of pathogenic microorganisms
Medical asepsis
clean technique, includes procedures for reducing the number of organisms present and preventing the transfer of organisms. (Hand hygiene, barrier techniques, and routine environmental cleaning)
If an infectious disease can be transmitted directly from one person to another, it is a:
A) Susceptible host
B) Communicable disease
C) Port of entry to a host
D) Port of exit from the reservoir.
B) Communicable disease
Which is the most likely means of transmitting infection between patients?
A) Exposure to another patient's cough
B) Sharing equipment among patients
C) Disposing of soiled linen in a shared linen bag
D) Contact with a health care worker's hands
D) Contact with a health care worker's hands
Identify the interval when a patient progresses from nonspecific signs to manifesting signs and symptoms specific to a type of infection.
A) Illness stage
B) Convalescence
C) Prodromal stage
D) Incubation period
C) Prodromal stage
Which of the following is the most effective way to break the chain of infection?
A) Hand hygiene
B) Wearing gloves
C) Placing patients in isolation
D) Providing private rooms for patients
A) Hand hygiene
A family member is providing care to a loved one who has an infected leg wound. What would you instruct the family member to do after providing care and handling contaminated equipment or organic material.
A) Wear gloves before eating or handling food
B) Place any soiled materials into a bag and double bag it
C) Have the family member check with the doctor about need for immunization
D) Perform hand hygiene after care and/or handling contaminated equipment or material.
D) Perform hand hygiene after care and/or handling contaminated equipment or material.
A patient is isolated for pulmonary
A) Provide a dark, quiet room to calm the patient.
B) Reduce the level of precautions to keep the patient from becoming angry.
C) Explain the reasons for isolation procedures and provide meaningful stimulation
D) Limit family and other caregiver visits to reduce the risk of spreading the infection.
C) Explain the reasons for isolation procedures and provide meaningful stimulation
The nurse wears a gown when:
A) The patient's hygiene is poor.
B) The nurse is assisting with medication administration
C) The patient has aquired immunodeficiency syndrome (AIDS) or hepatitis.
D) Blood or body fluids may get on the nurse's clothing from a task that he or she plans to perform.
D) Blood or body fluids may get on the nurse's clothing from a task that he or she plans to perform.
The nurse has redressed a patient's wound and now plans to administer a medication to the patient. Which is the correct infection control procedure?
A) Leave the gloves on to administer the medication
B) Remove gloves and administer the medication
C) Remove gloves and perform hand hygiene before administering the medication
D) Leave the medication on the bedside table to avoid having to remove gloves before leaving the patient's room.
C) Remove gloves and perform hand hygiene before administering the medication
When a nurse is performing surgical hand asepsis, the nurse must keep hands:
A) Below elbows
B) Above elbows
C) At a 45-degree angle
D) In a comfortable position.
B) Above elbows
What is the best method to sterilize a straight urinary catheter and suction tube in the home setting?
A) use an autoclave
B) Use boiling water
C) Use ethylene oxide gas
D) Use chemicals for disinfection.
B) Use boiling water
A patient has an indwelling urinary catheter. Why does an indwelling urinary catheter present a risk for urinary tract infection?
A) It keeps an incontient patient's skin dry
B) It can get caught in the linens or equipment
C) It obstructs the normal flushing action of urine flow
D) It allows the patient to remain hydrated without having to urinate.
C) It obstructs the normal flushing action of urine flow
Your ungloved hands come in contact with the drainage from your patient's wound. What is the correct method to clean your hands?
A) Wash them with soap and water
B) Use an alcohol-based hand cleaner.
C) Rinse them and use the alcohol-based hand cleaner
D) Wipe them with a paper towel.
A) Wash them with soap and water
A patient's surgical wound has become swollen, red and tender. You note that the patient has a new fever and leukocytosis. What is the best immediate intervention?
A) Notify the health care provider and use surgical technique to change
B) Reassure the patient and recheck the wound later.
C) Notify the health care provider and support the patient's fluid and nutritional needs.
D) Alert the patient and caregivers to the presence of an infection to ensure care after discharge.
C) Notify the health care provider and support the patient's fluid and nutritional needs.
While preparing
A) When a sterile field comes in contact with a wet surface, the sterile field is contaminated by capillary action.
B) Fluid flows in the direction of gravity
C) A sterile field becomes contaminated by prolonged exposure to air.
D) None of the principles were violated.
C) A sterile field becomes contaminated by prolonged exposure to air.
Disinfection
a process that eliminates many or all microorganisms, with the exception of bacterial spores, from inanimate objects. (alcohols, chlorines)
Sterlization
the complete elimination or destruction of all microorganisms, including spores.